SOUTHERN TEXAS HEART AND VASCULAR CLINIC, PLLC


Address: 1303 Mccullough Ave, San Antonio, TX 78212-5609
Phone: 2107605720

SOUTHERN TEXAS HEART AND VASCULAR CLINIC, PLLC (NPI# 1699193185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699193185
Entity Type Organization
Organization Name SOUTHERN TEXAS HEART AND VASCULAR CLINIC, PLLC
Practice Address 1303 Mccullough Ave
San Antonio
TX 78212-5609
Practice Telephone 2107605720
Enumeration Date 2014-04-01
Last Update Date 2014-04-01
Authorized Official Name JUAN DIEGO MARTINEZ (OWNER)
Authorized Official Telephone 5052397140
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285077081 Southern Texas Heart and Vascular Clinic, Pllc Internal Medicine 12501 Judson Rd Ste 202, Live Oak, TX 78233-4117 2013-04-10

Office Location

Street Address 1303 MCCULLOUGH AVE
City SAN ANTONIO
State TX
Zip Code 78212-5609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386645372 Victor Ivan Lyday Orthopaedic Surgery 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 2005-08-02
1588208920 Lorena Angelica Ramirez Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2019-10-29
1396388351 Alexander Saldana Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2019-10-23
1821524158 Jesse Lowrance Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2017-05-05
1619410958 Sam Mccrary Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2016-11-18
1306242409 Rafael Parra and Associates Neurological Surgery 1303 Mccullough Ave, Ste 440, San Antonio, TX 78212-5609 2014-11-17
1780925768 San Antonio Lung Center, Pllc Internal Medicine 1303 Mccullough Ave, Suite 428, San Antonio, TX 78212-5609 2013-03-15
1619217122 Gmg Health Systems Associates, Pa Durable Medical Equipment & Medical Supplies 1303 Mccullough Ave, Suite 170, San Antonio, TX 78212-5609 2013-02-20
1144572132 Rebekah T Adai Nurse Practitioner 1303 Mccullough Ave, Suite Gl70, San Antonio, TX 78212-5609 2012-10-15
1245587062 Real Arm Consulting Surgery 1303 Mccullough Ave, Ste. 538, San Antonio, TX 78212-5609 2012-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902451701 Ninfa Hernandez Guzman Assisted Living Facility 325 E Locust St., San Antonio, TX 78212 2019-08-08
1366924730 David Edward Dupuy Occupational Therapist 307 West Cypress, San Antonio, TX 78212 2018-09-03
1184100836 Magenta Health, Inc. Clinic/Center 1222 North Main, Suite 115, San Antonio, TX 78212 2018-07-16
1497275762 Dms Pharmacy, LLC Pharmacy 305 East Euclid, Suite 104, San Antonio, TX 78212 2017-06-27
1245693290 Rebecca Lynn Sherman Physical Therapist 40 Ne Interstate 410 Loop, San Antonio, TX 78212 2016-03-29
1669886032 Felise De Novo, PC Counselor 2400 Mccullough Ave., #12851, San Antonio, TX 78212 2014-06-13
1699102699 Prem S. Kalidindi Pharmacist 2608 N. Main, Ste 1, San Antonio, TX 78212 2013-10-04
1073860052 Sarah Nicole Percy Tovar Dentist 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 2012-08-09
1205181674 Michael Jose Cavazos Internal Medicine 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1730458381 Neuriom, Pllc Electrodiagnostic Medicine 4007 Mccullough Ave, #243, San Antonio, TX 78212 2011-12-27
Find all providers in zip 78212

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184098279 Heart Endovascular and Rhythm of Texas, Pa Internal Medicine 1202 E Sonterra Blvd Ste 604, San Antonio, TX 78258-4093 2015-11-30
1780058040 Advanced Cardiac Imaging Solutions, Pllc Internal Medicine 13423 Blanco Road #437, San Antonio, TX 78216 2015-11-23
1215329602 Ricardo A Garza Md Pllc Internal Medicine 6800 W Ih 10 West, Suite 110, San Antonio, TX 78201-2039 2015-02-23
1003205873 Heart and Rhythm Institute of South Texas, Pa Internal Medicine 8122 Datapoint Dr Ste 120, San Antonio, TX 78229-3264 2015-01-16
1205181674 Michael Jose Cavazos Internal Medicine 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1326342015 B.s.athreya,m.d.,p.a.& Associates Internal Medicine 215 E Quincy St Ste 430, San Antonio, TX 78215-2034 2011-01-10
1093034654 South Texas Cardiology Institute, Pllc Internal Medicine 6800 Ih 10 W Ste 200, San Antonio, TX 78201-2041 2010-05-21
1164604294 Chun Wang Tan Md Pa Internal Medicine 323 W Mulberry Ave, San Antonio, TX 78212-3236 2007-11-30
1851573844 Rushit R. Kanakia Internal Medicine 1715 Mccullough Ave Fl 2, San Antonio, TX 78212-4046 2007-11-30
1336337880 R. Stefan Kiesz M.d. P.a. Internal Medicine 18615 Tuscan Stone, Suite 170, San Antonio, TX 78258-3498 2007-10-10
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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